Cost analysis of laparoendoscopic rendezvous versus preoperative ERCP and laparoscopic cholecystectomy in the management of cholecystocholedocholithiasis

  title={Cost analysis of laparoendoscopic rendezvous versus preoperative ERCP and laparoscopic cholecystectomy in the management of cholecystocholedocholithiasis},
  author={A. Garbarini and D. Reggio and S. Arolfo and M. Bruno and R. Passera and G. Catalano and C. Barletti and M. Salizzoni and M. Morino and L. Petruzzelli and A. Arezzo},
  journal={Surgical Endoscopy},
BackgroundEvidence from controlled trials and meta-analyses suggests that laparoendoscopic rendezvous (LERV) is preferable to sequential treatment in the management of common bile duct stones.Materials and methodsWith this retrospective analysis of a prospective database that included consecutive patients treated for cholecystocholedocholithiasis at our institution between January 2007 and July 2015, we compared LERV with sequential treatment. The primary endpoint was global cost, defined as… Expand
Laparoendoscopic rendezvous versus ERCP followed by laparoscopic cholecystectomy for the management of cholecysto-choledocholithiasis: a retrospectively cohort study
The LERV technique is a safe and effective approach for CCL with lower pancreatitis; it was associated with few later biliary complications, shortened hospital stays, and fewer charges but significantly longer operative time. Expand
Laparoendoscopic rendezvous versus ERCP followed by laparoscopic cholecystectomy in the management of cholecystocholedocholithiasis: a systemic review and meta-analysis
LERV is equivalent to traditional two-stage procedures in terms of CBD stone clearance and conversion, with less pancreatitis, lower overall morbidity, and shorter hospital stay but longer operation time. Expand
Postoperative rendezvous endoscopic retrograde cholangiopancreaticography as an option in the management of choledocholithiasis
Even though intraoperative rendezvous ERCP is the preferred method, postoperative Rendezvous E RCP constitutes an acceptable alternative where ERCp resources are lacking or limited. Expand
Strategies and Techniques for the Treatment of Concomitant Gallbladder and Common Bile Duct Stones: An Economic Dilemma Only?
The Rendezvous technique provides the best strategy for the treatment of cholecystocholedocholithiasis in terms of clearance of the biliary duct, hospital stay, morbidity and costs. Expand
Bile Duct Clearance and Cholecystectomy for Choledocholithiasis: Definitive Single-Stage Laparoscopic Cholecystectomy with Intra-Operative Endoscopic Retrograde Cholangiopancreatography (ERCP) versus Staged Procedures.
The data suggest this strategy significantly shortens the time to definitive treatment, decreases total hospital stay without any excess in adverse outcomes, and should be given to index-admission laparoscopic cholecystectomy with intraoperative ERCP for the treatment of choledocholithiasis. Expand
[Laparoscopic rendezvous surgery for cholecystocholedocholithiasis].
Patients with cholecystocholedocholithiasis who underwent hybrid single-stage laparoscopic surgery (Rendezvous technique) as an alternative to conventional two-stage approach had elevated serum amylase level without signs of pancreatitis in postoperative period. Expand
Aspects on interventions in complicated gallstone disease


Laparoendoscopic Rendezvous Versus Preoperative ERCP and Laparoscopic Cholecystectomy for the Management of Cholecysto-Choledocholithiasis: Interim Analysis of a Controlled Randomized Trial
Interim analysis of the results suggests the superiority of the LERV technique in terms of hospital stay and post-ERCP hyperamylasemia. Expand
Preoperative Endoscopic Sphincterotomy Versus Laparoendoscopic Rendezvous in Patients With Gallbladder and Bile Duct Stones
When compared with preoperative ERCP with ES followed by LC, the laparoendoscopic rendezvous technique allows a higher rate of CBD stones clearance, a shorter hospital stay, and a reduction in costs. Expand
Laparoendoscopic rendezvous reduces perioperative morbidity and risk of pancreatitis
Despite the limitation of a small number of studies completed, the evidence of RCTs shows that LERV is superior to two-stage treatment due to a reduction in overall complications, particularly pancreatitis. Expand
Simultaneous laparoendoscopic rendezvous for the treatment of cholecystocholedocholithiasis
There is confusion concerning the definitions and techniques of RV due to differences in combining surgical and endoscopic steps of the procedure, but the results are at least comparable with those of the other available approaches. Expand
Endolaparoscopic rendezvous treatment: a satisfying therapeutic choice for cholecystocholedocolithiasis.
Intraoperative ES offers a valid approach to the treatment of cholecystocholedocolithiasis in one session and represents a valid alternative to transcholedocical laparoscopic treatment of Cholelithiasis and complex common bite duct pathology. Expand
Laparo-endoscopic "Rendezvous" to treat cholecysto-choledocolithiasis: Effective, safe and simplifies the endoscopist's work.
Simultaneous RV carries high effectiveness and safety at least comparable to those reported for other options, and the endoscopist is very often satisfied with this approach because of the minimization of some steps of the endoscopic procedure and avoidance of relevant iatrogenic risk factors. Expand
Combined endoscopic treatment for cholelithiasis associated with choledocholithiasis
Peroperative ERCP with the technique described should be considered as the treatment of choice for choledocholithiasis associated with cholelithiasis and when single-stage treatment is not possible, a two-step rendezvous technique should be preferred. Expand
Single-stage laparoscopic and endoscopic treatment for choledocholithiasis: a novel approach.
Intraoperative ES is a viable and effective treatment for choledocholithiasis when the transcystic approach fails and may save the extra time and effort associated with all other current alternatives. Expand
Use of the laparoscopic–endoscopic approach, the so-called “rendezvous” technique, in cholecystocholedocholithiasis
In cholecysthocholedocholithiasis, the combined laparoscopic–endoscopic approach prevents post-ERCP pancreatitis in cases with patient-related risk factors for this complication. Expand
Two-stage treatment with preoperative endoscopic retrograde cholangiopancreatography (ERCP) compared with single-stage treatment with intraoperative ERCP for patients with symptomatic cholelithiasis with possible choledocholithiasis.
Both treatment approaches were equally effective but the intraoperative ERCP group had less morbidity, a shorter hospital stay, and reduced costs. Expand